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CHART NO. <br /> j everett <br /> � Sanf � ��„�, � <br /> z r�-~,y j � `y"�"r7( <br /> ,o�� ; City of Everett ; <br /> r'� S v, I I <br /> '� z3 ��� Sewer Application and Rermit i <br /> � H� � _ : _. � �_ . � . I <br /> O SO . . . .. _ . . . , <br /> 'il H ti7 i ..- _ _ -. . . . � . � <br /> �nH NO. Z�QS3 DATE. _ I <br /> n o�i i =--_-__ �19s�— , <br /> H C7 " <br /> o r-� Service Address __o,c,____�:,s_.�y_ Utiliry Account No. � <br /> � 'g � <br /> H� o BillingAddress —1gqg,���S} , i <br /> ry� City, State,Zip n.+rr,__,_i t . �an �i a Permil Fee S _ 30.00 � <br /> Hy <br /> N H I O.vner ;,��Qy.�,�� Connection Charge � <br /> gh� ; <br /> � �t., il Connection by Trunk � •�� gg I <br /> eama <br /> y 0� , Address Lateral $ -' � <br /> ' Tutal Connection Charc�e S 11fl_Oo <br /> �I Phone �R,_gnG6 — — Utility Development Fee <br /> � Legal Description: Water $ .��y�_ �, <br /> I�. .� �� Lot �S _ Sewer $ 461.^^ �I <br /> �"' i Block Total Dovelopmen�Fee $—g _ <br /> (a-�.� I Plat I <br /> � I Unplatled DEscription: Sewer Bond District _ Annd I <br /> ("' "� � Abuqing Lot Line <br /> � ' I _— N,S. E.W _ fL I <br /> i"' � Type of Permit u,.. „ .�,,,, Approved By I <br /> � N i Remarks — Issued By i <br /> 1 ;j � Customer Signature_— <br /> I <br /> I IMPORTANT! <br /> ��� � I i <br /> CALL 1-500-424-5555 48-HOURS �- <br /> ��, PRIOR TO DIGGING ;t� � <br /> � InspectionBy�.�l '��� <br /> ' CALL 259-8810 FOR INSPECTION <br /> I Uate Inspected — �'� 1�- �� — <br /> � SEE SKETCH ATTACHED No. 27963 <br /> I <br /> i � � i ,, ... <br />